ArticleActa orthopaedica et traumatologica turcica2016
Is surgeons' experience important on intra- and inter-observer reliability of classifications used for adult femoral neck fracture?
Article in Acta orthopaedica et traumatologica turcica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- A Novel Radiographic Classification of the Proximal Tibiofibular Joint.Medicina (Kaunas, Lithuania) · 2026Article
- Article
- Garden classification of femoral neck fracture using deep-learning algorithm.Scientific reports · 2025Article
- Article
- Systematic review of valgus intertrochanteric osteotomy in the setting of femoral neck fractures.Journal of orthopaedics · 2025Review
- Reliability of Assessing Distal Radius Fractures on a Smartphone Versus PACS.Hand (New York, N.Y.) · 2024Article
- Dislocation of Total Hip Arthroplasty of Femoral Neck Fracture in the Elderly: A Narrative Review.Cureus · 2023Review
- Analysis of the Intra- and Inter-observer Reliabilities of Delbet Classification: Is Simplification Required.Indian journal of orthopaedics · 2023Article
- Proportion of stable femoral neck fracture types in different age groups: a population-based study.The Journal of international medical research · 2022Article
- Femoral neck fracture: the reliability of radiologic classifications.BMC musculoskeletal disorders · 2022Article
- Revisiting Pauwels' classification of femoral neck fractures.World journal of orthopedics · 2021Review
- No Consequence for Lateral View X-Ray in Displaced Proximal Femoral Fractures in the Elderly.Frontiers in surgery · 2021Article
- Does the META score evaluating osteoporotic and metastatic vertebral fractures have enough agreement to be used by orthopaedic surgeons with different levels of training?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Classifications in Brief: Garden Classification of Femoral Neck Fractures.Clinical orthopaedics and related research · 2018Review
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Authors and funding
6 authors.
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Abstract
purposeTo evaluate whether surgeons' experience affect inter- and intra-observer reliability among mostly used classification systems for femoral neck fractures. MATERIAL AND
methodsA power point presentation was prepared with 107 slides which were antero-posterior radiographs of each femoral neck fracture. Five residents, 5 orthopaedic surgeons and 5 senior orthopaedic surgeons reviewed this presentation and classified the fractures according to Garden, Pauwels and AO classifications. The order of the slides was changed and reviews were repeated after 3 months. Fleiss kappa and intraclass correlation coefficient values were calculated to evaluate inter and intra-observer reliability.
resultsGarden and AO classifications' inter-observer reliabilities were similar and higher than Pauwels classification. Among three experience groups, the inter-observer reliability for Garden classification was highest in senior surgeon group, the interobserver reliability for AO classification was highest in surgeon group, and interobserver reliability of Pauwels classification was highest in low experienced groups (residents and surgeons). Intra-observer reliability was highest for Garden and lowest for Pauwels classifications. Surgical experience was found to be not effective for intraobserver reliability.
conclusionBoth Garden and AO classifications were more reliable than Pauwels classification. Surgical experience was not significantly important on these three classification systems' evaluation. LEVEL OF EVIDENCE: Level IV, Diagnostic study.
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